| NPI | 1053108050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE D IVUMBI Owner 703-850-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |